Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools

[OADC] CDC Usability and Digital Content Testing

Documents and Forms

Document Name Document Type
Form 0920-1050 Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools Form and Instruction
0920-1050 Usability Testing Script for CCSM CDS Interface CCSM Usability Script - Attachment B Usability Script.docx Form and Instruction
CCSM CDS Usability Testing Overview - Attachment A Instructions.docx Usability Evaluation and Analysis Overview for CCSM CDS Interface IC Document
Customer Service GenIC Clearance Template (Final 5.3) for Cervical Cancer CDS Usability Evaluation .docx Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-105 IC Document
CCSM Usability Testing - Attachment C Participant Info.docx Participant Information Sheet for CCSM CDS Interface IC Document

Information Collection (IC) Details

IC Title:	Pilot Evaluation for Cervical Cancer Clinical Decision Support Tools	Agency IC Tracking Number:	0920-1050-22IK

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1050	Usability Testing Script for CCSM CDS Interface	CCSM Usability Script - Attachment B Usability Script.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 45	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Usability Evaluation and Analysis Overview for CCSM CDS Interface	CCSM CDS Usability Testing Overview - Attachment A Instructions.docx	08/25/2022
Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 0920-1050)	Customer Service GenIC Clearance Template (Final 5.3) for Cervical Cancer CDS Usability Evaluation .docx	08/25/2022
Participant Information Sheet for CCSM CDS Interface	CCSM Usability Testing - Attachment C Participant Info.docx	08/29/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.